VU ANH PHAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

Middle

ANH

Last Name

PHAN

Suffix

DDS

Business Name

VU ANH PHAN DDS

Original Issue Date

10/29/1998

Effective Date

10/29/1998

Expiration Date

09/30/2000

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005